Challenges to evaluating complex interventions: a content analysis of published papers
Challenges to evaluating complex interventions: a content analysis of published papers
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DOI：
10.1186/1471-2458-13-568
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发表时间：
2013-06-11
影响因子：
4.5
通讯作者：
Petticrew, Mark
中科院分区：
文献类型：
--
作者：
Datta, Jessica;Petticrew, Mark
背景资料：从业者、政策制定者和研究人员对复杂干预措施的评价持续感兴趣，这是因为需要进一步发展关于医疗保健和公共卫生干预措施有效性的证据基础，并认识到如果干预措施复杂，评价将变得更具挑战性。我们对已发表的期刊文章进行了分析，以确定作者描述的复杂性方面，正在评估复杂干预措施的领域以及在设计，实施和评估中遇到的挑战。本文概述了这一文献analysis.Methods的结果：PubMed电子数据库检索了十年的时间，2002年1月至2011年12月，使用术语“复杂的干预 *”的标题和/或摘要的文件。我们从论文中提取文本到一个表中，并进行了专题分析，以确定作者的描述所面临的挑战，在开发，实施和评估复杂的interventions.Results：搜索结果的样本221篇论文，其中216全文获得，207被列入分析。这207篇论文广泛涵盖临床、公共卫生和方法学主题。所描述的挑战包括内容和标准化的干预措施，所涉及的人（工作人员和患者）的影响，实施的组织背景下，结果的措施，和evaluation.Conclusions的发展：我们对这些文件的分析表明，更详细的报告的结果，背景和干预的信息是需要复杂的干预措施。今后对初级和次级研究报告准则的修订可能需要考虑到复杂性，以提高其对研究人员和研究用户的价值。
Background: There is continuing interest among practitioners, policymakers and researchers in the evaluation of complex interventions stemming from the need to further develop the evidence base on the effectiveness of healthcare and public health interventions, and an awareness that evaluation becomes more challenging if interventions are complex. We undertook an analysis of published journal articles in order to identify aspects of complexity described by writers, the fields in which complex interventions are being evaluated and the challenges experienced in design, implementation and evaluation. This paper outlines the findings of this documentary analysis.Methods: The PubMed electronic database was searched for the ten year period, January 2002 to December 2011, using the term "complex intervention*" in the title and/or abstract of a paper. We extracted text from papers to a table and carried out a thematic analysis to identify authors' descriptions of challenges faced in developing, implementing and evaluating complex interventions.Results: The search resulted in a sample of 221 papers of which full text of 216 was obtained and 207 were included in the analysis. The 207 papers broadly cover clinical, public health and methodological topics. Challenges described included the content and standardisation of interventions, the impact of the people involved (staff and patients), the organisational context of implementation, the development of outcome measures, and evaluation.Conclusions: Our analysis of these papers suggests that more detailed reporting of information on outcomes, context and intervention is required for complex interventions. Future revisions to reporting guidelines for both primary and secondary research may need to take aspects of complexity into account to enhance their value to both researchers and users of research.